NCLEX Questions, NCLEX RN Practice Questions Free Questions,

Extract:

Question 1 of 5

A 9-week-old female infant has a diagnosis of bilateral cleft lip and cleft palate. She has been admitted to the pediatric unit after surgical repair of the cleft lip. Which of the following nursing interventions would be appropriate during the first 24 hours?

Correct Answer: B

Rationale: Placing the infant on her abdomen may allow for injury to the suture line. Elbow restraints prevent the infant from touching the suture line and yet leaves hands free. The suture line is cleaned as often as every hour to prevent crusting and scarring. Sucking of a bottle or pacifier places pressure on the suture line and may delay healing and cause scarring.

Question 2 of 5

To prevent transmission of bacterial meningitis, the nurse would instruct an infected baby's mother to:

A. Avoid touching the baby while in the room. B. Stay outside of the baby's room. C. Wear a gown and gloves and wash her hands before and after leaving the room. D. Wear a mask while in the room.

Correct Answer: C

Rationale: The mother should be allowed and encouraged to touch her baby. With care, transmission can be prevented. There is no need for the mother to stay outside the room. Everyone entering the baby's room should take appropriate measures to prevent transmission of pathogens. Wearing a mask will not protect against transmission of pathogens.

Question 3 of 5

The nurse is assisting a 4th-day postoperative cholecystectomy client in planning her meals for tomorrow's menu. Which vitamin is the most essential in promoting tissue healing?

A. Vitamin C B. Vitamin B1 C. Vitamin D D. Vitamin A

Correct Answer: A

Rationale: Vitamin C (ascorbic acid) is essential in promoting wound healing and collagen formation. Vitamin B1 (thiamine) maintains normal gastrointestinal (GI) functioning, oxidizes carbohydrates, and is essential for normal functioning of nervous tissue. Vitamin D regulates absorption of calcium and phosphorus from the GI tract and helps prevent rickets. Vitamin A is necessary for the formation and maintenance of skin and mucous membranes. It is also essential for normal growth and development of bones and teeth.

Question 4 of 5

A 15-year-old client is admitted to the adolescent unit. The nurse recognizes that encouraging a client to speak openly depends on how clearly questions are phrased. Which of the following statements is most desirable in eliciting information from an adolescent client?

A. Do you get along well with your family?' B. Do you communicate with your parents?' C. You don't hate your family, do you?' D. What is it like between you and your family?'

Correct Answer: D

Rationale: (A,
B) This statement can be answered with a simple yes or no. This statement is asked in a negative manner and therefore has a negative connotation. This statement is open ended and positively stated.

Question 5 of 5

The registered nurse is making shift assignments. Which client should be assigned to the licensed practical nurse (LPN)?

A. A client who is a diabetic with a foot ulcer B. A client with a deep vein thrombosis receiving intravenous heparin C. A client being weaned from a tracheostomy D. A post-operative cholecystectomy with a T-tube

Correct Answer: A

Rationale: A diabetic with a foot ulcer is stable and suitable for an LPN, who can perform wound care and monitoring. Heparin infusion (
B), tracheostomy weaning (
C), and T-tube management (
D) require RN-level skills due to complexity and risk.